How to save a million lives with SMS

happygeek 0 Tallied Votes 370 Views Share

The hugely popular act of text messaging is many different things to many different people, from a cool way to keep in touch at one end of the spectrum to something that is destroying the English language at the other. You can use SMS to hack an iPhone or send sexy text messages in Scotland and . One thing that most people would not consider SMS to be, however, is a life saver.

OK, I can kind of see a scenario where someone has collapsed in their house and is unable to move so turns to the mobile phone to call for help. But even then, unless they were unable to talk as well I doubt that text messaging would be their saviour. Yet IBM, Novartis and Vodafone reckon they can use SMS to potentially save millions of lives in Africa.

The Roll Back Malaria Partnership 'SMS for Life' initiative is already helping to save lives using everyday technology to improve the availability of anti-malarial drugs in remote areas of Tanzania for example. And it is doing this by using a combination of mobile phones, SMS technologies and intuitive web sites to track and manage the supply of Artemisinin-based Combination Therapy (ACT) drugs and Quinine injectables, both of which are key to reducing the number of deaths from malaria.

Malaria is responsible for some one million deaths in Africa each and every year, mostly among pregnant women and young children, and mostly preventable. Huge numbers of people die simply because they lack quick access to life saving medication. And so it was that the concept of using text messaging in order to improve the stock management of these medicines was developed by pharmaceutical company Novartis and a team of international students taking part in IBM's internship programme, Extreme Blue.

The team developed SMS for Life, with IBM tasked to manage the project and Vodafone stepping in to develop and manage a system based on simple SMS messaging that would help ensure dispensaries did not run out of vital stock. After visits to clinics, hospitals and dispensaries across Tanzania, IBM, Novartis and Vodafone initiated a five month pilot of the SMS for Life solution, covering 135 villages and over a million people in different geographic locations across Tanzania. Healthcare staff at each facility receive automated SMS messages, which prompt them to check the remaining stock of anti-malarial drugs each week. Using toll-free numbers, staff reply with an SMS to a central database system hosted in the United Kingdom, providing details of stock levels, and deliveries can be made before supplies run out at local health centres.

During the first few weeks of the pilot, the number of health facilities with stock-outs in one district alone, was reduced by over 75%. The early success of the SMS for Life pilot project has the Tanzanian authorities interested in implementing the solution across the rest of the country. Tanzania has around 5000 clinics, hospitals and dispensaries, but at any one time, as many as half could potentially be out of stock of anti-malarial drugs.

“The SMS for Life program has already had a positive effect in Tanzania,” says Senior Health Officer with Ministry of Health and Social Welfare, Tanzania, Winfred Mwafongo. “I've seen district medical officers ordering urgent stock replacements for various health facilities. During a visit to 19 rural health facilities in one district alone, I saw huge improvements in their inventory management systems. I'm very impressed with the results so far and look forward to following the rest of the pilot through to completion."

Dani AI

Generated

Good roundup by and useful examples from . Both posts underline the potential of SMS systems. Below is a compact, practical checklist intended to fill the implementation gaps that are often left out of high-level descriptions.

Design for people first: keep message formats fixed and short (facilityID + itemCode + quantity). Use scheduled prompts aligned to local supply cycles and require an automatic confirmation so staff know a report reached the server. Provide cheat-sheets in local languages, hands-on role-play training, simple incentives (small airtime top-ups or recognition), and a local help contact. Plan fallbacks (USSD, IVR or paper) for low coverage or low-literacy areas. Equip facilities with preconfigured phones and basic power solutions like solar chargers.

On the backend, use redundant delivery routes and log delivery receipts. Parse messages server-side with strict validation, basic error-correction and outlier flags so suspicious reports are reviewed by a human. Keep last-report timestamps, show color-coded alerts on dashboards, and automate reorder suggestions while preserving manager sign-off. Integrate incoming reports with procurement and transport workflows so reporting triggers real deliveries. Avoid sending patient-level data by SMS and set clear data ownership, retention and access rules.

Example message format (keep it short):

FACID ITEMCODE QTY
F123 ALU01 12

Measure impact from day one: reporting rate, timeliness, accuracy, stock-out frequency and lead time to resupply. Start small, iterate quickly, budget for airtime/gateway fees and refresher training, and pair messaging with concrete logistics fixes. Beware spoofing, gaming of reports and infrastructure bottlenecks; include periodic audits and community oversight. SMS is a powerful layer, but it does not replace transport, financing or governance.

DarylClickatell 0 Newbie Poster

This is an excellent article highlighting the benefits of SMS. There are many other instances of SMS messaging being used to save lives, e.g. a trial SMS service that allows residents to contact the police via SMS messages has recently been launched by the City of London’s police force.

Distressed residents with hearing or speech impediments can send an SMS spelling out the emergency service required, the nature of the emergency and the location. The SMS is sent to a voice-relay assistant, who speaks the text message to the emergency service, which then texts their reply back.

The World Food Programme (WFP) also recently launched a SMS initiative to distribute digital food vouchers to displaced Iraqis now living in Syria - emphasising the fact that SMS Gateways offer far greater reach than other established communication. SMS reaches people anywhere with real-time information.

In addition, SMS can be used by governments to forewarn citizens of imminent natural disasters, like fires and floods, or provide information about national pandemics, such as the recent H1N1 virus. For information regarding SMS in action, visit SNIP

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